London's Pulse: Medical Officer of Health reports 1848-1972

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Kensington 1958

[Report of the Medical Officer of Health for Kensington Borough]

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Cases on register at the beginning of year5,008
New cases added to register720
Cases removed to hospital147
Cases removed to homes (voluntarily)61
Cases removed to homes (compulsorily)1
Cases removed from district171
Number of deaths289
Total number of cases remaining on register at end of year5,059
Number of old people sent away for holiday67
Number of old people provided with Council's laundry service78
Number of old people provided with "Meals on Wheels"248
Cases referred to National Assistance Board224
Cases referred for assistance from Home Help Department171
Cases referred for assistance from Voluntary Organisations74
Cases referred to Recreational Clubs230
Number of visits to chronic sick cases420
Cases assisted with provision of medical and nursing care151
Cases referred to home chiropody service234
Cases where disinfestation was carried out9
Number of initial home visits made615
Number of re-visits3,448
Number of other visits made in connection with old people, including visits to clubs83
Number of interviews, enquiries, etc. on behalf of old people1,999

Removal of old and infirm persons to institutions, etc.
Under Section 47 of the National Assistance Act, 1948, the
Council may apply to a Court for an order to remove to a suitable
institution any person who -
(a) is suffering from grave chronic disease, or
being aged, infirm or physically incapacitated,
is living in insanitary conditions, and
(b) is unable to devote to himself, or is not
receiving from other persons, proper care
and attention.
The National Assistance (Amendment) Act, 1951, amended
Section 47 of the National Assistance Act, 1948, and provided that
application for removal of urgent cases may be made by the local
authority or by the Medical Officer of Health, if authorised by the
Council to do so, without giving seven days' notice as previously
required. Such applications may be made either to a Court of Summary
Jurisdiction or to a single Justice, on a certificate by the Medical
Officer of Health and another registered medical practitioner. Further,
where the hospital or institution agree to receive the case, it is not
necessary to give seven days' notice to the manager thereof.
Detention Orders made in respect of these urgent cases are
limited to three weeks, and if it is necessary to extend this time,
compliance must be made with the original requirements of Section 47.
Although many cases were investigated during the year, in only
one case was formal action taken to secure compulsory removal.
Details of this case were as follows
An old man, aged 83 years, without friends or
relatives, was living alone in North Kensington in